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ICD-10 R19.07

Generalized intra-abdominal and pelvic swelling, mass and lump

ICD10 R19.07 Symptoms, signs and abnormal clinical laboratory findings

Description

Generalized intra-abdominal and pelvic swelling, mass and lump

Common Specialties

Emergency Medicine

Documentation Requirements

  • Document clinical indications and clear medical necessity supporting the encounter or procedure.
  • Ensure complete provider signatures, credentials, date, and specific place of service (POS).
  • Verify documentation strictly supports code specificity to prevent downcoding or claim denials.

Billing & Coding Tips

  • Verify current payer fee schedules, NCCI edits, and Medically Unlikely Edits (MUEs).
  • Append correct modifiers (e.g., 25, 59, 26, TC) where distinct procedural services or components apply.
  • Confirm pre-authorization rules with Medicare, Medicaid, and commercial plans before submission.

Related Codes

R19 R19.0 R19.00 R19.01 R19.02 R19.03 R19.04 R19.05 R19.06 R19.09 R19.1 R19.11 R19.12 R19.15 R19.2

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